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Home My WebLink AboutWQ0007521_Monitoring - 03-2021_20210504 r GW-59A COMPLIANCE REPORT FORM Permit# W go 001521 (Submit one each monitoring period with GW-59 forms.) j Enter date monitoring results were due. ( / D/1.1 ) Will this monitoring report(GW-59 and GW-59A) YES NO be submitted after the established due date? `// 2 Was any required information missing on the GW-59 report forms? YES 1 0 IF the answer to question 1 or 2 is"YES", list in the space provided below the well identification number(s) and explain the problems encountered in obtaining the required information. 3 Are any of the monitor wells in need of repair or maintenance(damaged casing,unlocked or missing cap,missing YES NQ' identification plate,area overgrown,etc.)?If the answer is "Yes", contact the Regional Office for guidance. ✓ 4 Are any monitored constituents equal to or above the established standards? YES IJ If the answer to question 4 is "NO", skip to section 8. If the answer to question 4 is "YES"list the affected wells individually with constituent(s) and concentration(s) exceeding standards in the space provided below: 5 For the constituents identified in question 4 above, have standards been exceeded previously for the YES NO same constituent(s) in the same well(s) in the last two years? If the answer to question 5 is "NO", skip to section 8. If the answer to question 5 is "YES",list in the space provided below, each well with constituent(s) exceeding standards, concentration(s) reported, and sample collection date for each occurrence(for the last two years). 6 Are the monitoring wells listed in section 5 located at or beyond the review boundary? YES NO If the answer is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells may be improperly located;contact the Regional Office. 7 Is the permittee implementing previously approved actions required by the Division involving this YES NO groundwater quality problem? If the answer to question 7 is "YES", describe those actions in the space provided b low. If the answer to question 7 is "NO", contact the Regional Office within 90 da evaluation may be required to determine the impact the to disposal system is having at the r and compliance boundaries surrounding this facility. ilure to dog may subject the pernjitteea Notice of Violation, fines, and/or penalties. ,� 4 0 -T1 O N 8 The person completing this portion( -59AM t nonitoring report should s► below and submit this form with GW-59 forms for required Its to the a ess provided at the top of the current GW-59 form. I hereby acknowledge that the above information was evaluated and the information submitted in this report(Compliance Report GW-59A) is true and complete to the best of my knowledge. .,:,. p..,,ek..„----------- 113c)IL\ Sign re of Permittee(or Authorized Agent) Date GW-59A 12/8/2003 SUBMIT FORM ON YELLOW PAPER ONLY DEPARTMENT OF ENVIRONMENTAL QUALITY . DIV. OF WATER RESOURCES 6OUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM 1617 MAIL SEkVICE CENTER; RALEIGH, NC 27699-1617 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 1/31/23 Facility Name: Maxwell Foods Livestock Truck Washstation Non -Discharge WQ0007521 UIC NPDES Other Permit Name (if different): Facility Address: 151 Best Sand and Gravel Rd TYPE OF PERMITTED OPERATION BEING MONITORED Goldsboro NC 27534 County WaVne A Lagoon ❑ Remediation: Infiltration Gallery X Spray Field ❑ Remediation: Contact Person: Jim H Lynch Telephone#: 919 778 3130 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: Washstation No. of wells to be sampled: 4 ❑ Water Source Heat Pump ❑ Other: from Permit) SAMPLING INFORMATION AA\��- I V\ If WELL WAS WELL ID NUMBER (from Permit): Date sample collected: 3/15/21 FIELD ANALYSES: Well Depth: 13•5 ft. Well Diameter: 2, in. pH 00400: S• 1 units Temp. 000lo: °C DRY at 6 ft. below measuring point Screened Interval: 3. S ft. to Depth to Water Level 825a6:� g p )�Sft. Spec. Cond. 000sa: N Mhos time of sampling, Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: oh- check Volume of water pumped/bailed before sampling: 30 gallons Appearance C Ic, here:❑ Samples for metals were collected unfiltered: 00 YES ❑ NO and field acidified: ❑� YES ❑ NO LABORATORY INFORMATION Date sample analyzed: Please see attached Laboratory Name: Environmental Chemists, Inc. Certification No. 094 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead 01051 ug/L Coliform: MF Fecal 31616 < /100mL Nitrate (NO3) as N 00620 3 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 0 mg/L AI -Aluminum oilo5 mg/L pH (Lab) 00403 5 . 1 units Ba - Barium 01007 ug/L TOC 00680 (, 6 mg/L Ca - Calcium 00916 mg/L Chloride 00940 < S mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 ug/L Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC) Phenol 32730 ug/L Fe - Iron 01045 ug/L (Specify test and method #. ATTACH LAB REPORT.) Sulfate 00945 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) Specific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 method # Total Ammonia 00610 • Z mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NH, as N, Ammonia Nitrogen, Total) Mn - Manganese 01055 ug/L , method # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% Jim H Lynch - Environmental Manager Maxwell Foods, LLC Permittee (or Authorized Aqent) Name and Title - Please print or type GW-59 Rev.06-07-2018 SUBMIT FORM ON YELLOW PAPER ONLY Mail original DEPARTMENT OF ENVIRONMENTAL QUALITY-DIV.OF WATER RESOURCES GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM and 1 copy to: 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 1/31/23 Facility Name: Maxwell Foods Livestock Truck Washstation Non-Discharge WQ0007521 UIC Permit Name(if different): NPDES Other Facility Address: 151 Best Sand and Gravel Rd TYPE OF PERMITTED OPERATION BEING MONITORED Goldsboro NC 27534 County Wayne ❑■ Lagoon ❑ Remediation: Infiltration Gallery ❑l Spray Field ❑ Remediation: Contact Person: Jim H Lynch Telephone#: 919 778 3130 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name:Washstation No. of wells to be sampled: 4 ❑ Water Source Heat Pump ❑Other: (from Permit) SAMPLING INFORMATION /�(� If WELL WELL ID NUMBER(from Permit): I "W— Lt Date sample collected: 3/15/21 FIELD ANALYSES: WAS Well Depth: 15 ft. Well Diameter: 2- in. pH 00400: units Temp. 00010: Iy 7 °C DRY at Mhos time of Depth to Water Level 82546: —7, 1 ft. below measuring point Screened Interval: 4 ft. to ft. Spec. Cond. 00094: µ sampling, Measuring Point is / ft. above land surface Relative M.P. Elevation: ft. Odor 00085: Witt. check Volume of water pumped/bailed before sampling: 30 gallons Appearance C Ie i— here: Samples for metals were collected unfiltered: ®YES ❑ NO and field acidified: 0 YES ❑ NO LABORATORY INFORMATION Date sample analyzed:Please see attached Laboratory Name: Environmental Chemists, Inc. Certification No. 094 PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead o1051 ug/L Coliform: MF Fecal 31616 ( ( /100mL Nitrate(NO3)as N 6062o (o. Ct ( mg/L Zn-Zinc o1092 mg/L Coliform: MF Total 31504 /100mL Phosphorus:Total as P 60665 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units): Dissolved Solids:Total 70300 -"] mg/L Al-Aluminum o1105 mg/L pH (Lab)00403 S•3 units Ba-Barium o1007 ug/L TOC 00680 <.S mg/L Ca-Calcium o0916 mg/L Chloride 00940 �S mg/L Cd-Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium:Total 01034 ug/L Grease and Oils 00552 mg/L Cu-Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC) Phenol 32730 ug/L Fe-Iron o1045 ug/L (Specify test and method#.ATTACH LAB REPORT.) Sulfate 00945 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? ❑ Yes(1) ❑ No(0) Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 7873 , method# Total Ammonia o0610 '.2 mg/L Mg-Magnesium 00927 mg/L , method# (Ammonia Nitrogen;NH3 as N;Ammonia Nitrogen,Total) Mn-Manganese o1055 ug/L , method# TKN as N 00625 mg/L Ni-Nickel 01067 ug/L , method# For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% I certify that,to the best of my knowledge and belief,the information submitted in this report is true,accurate,and complete,and that the laboratory analytical data was produced using approved methods of analysis by a DWR-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations. i. Jim H Lynch - Environmental Manager Maxwell Foods, LLC I i/ — 0428/21 Permittee(or Authorized Agent)Name and Title-Please print or type Signaturelermittee(or Authorized Agent) (Date) GW-59 Rev.06-07-2018 SUBMIT FORM ON YELLOW PAPER ONLY Mail original DEPARTMENT OF ENVIRONMENTAL QUALITY-DIV.OF WATER RESOURCES GROUNDWATER QUALITY MONITORING: and 1 copy to: INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 1/31/23 Facility Name: Maxwell Foods Livestock Truck Washstation Non-Discharge WQ0007521 UIC Permit Name(if different): NPDES Other Facility Address: 151 Best Sand and Gravel Rd TYPE OF PERMITTED OPERATION BEING MONITORED Goldsboro NC 27534 County Wayne __ ❑■ Lagoon ❑ Remediation: Infiltration Gallery ❑l Spray Field ❑ Remediation: Contact Person: Jim H Lynch Telephone#: 919 778 3130 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name:Washstation No. of wells to be sampled: 4 ❑ Water Source Heat Pump ❑Other: (from Permit) SAMPLING INFORMATION J�`^ ( If WELL WELL ID NUMBER(from Permit): I't " (_ b Date sample collected: 3/15/21 FIELD ANALYSES: WAS Well Depth: ft. Well Diameter: in. pH 00400: units Temp. 00010: °C DRY at Mhos time of Depth to Water Level 82546: ft. below measuring point Screened Interval: ft. to ft. Spec. Cond. 000s4: µ sampling, Measuring Point is ft. above land surface Relative M.P. Elevation: ft. Odor 00085: check Volume of water pumped/bailed before sampling199_ gallons Appearance We t' St{e w p 3 4100 le L here:n Samples for metals were collected unfilteredeS ❑ NO and field acidified: "YES ❑ NO Who rlv) sa.Plr3 -H kc-� LABORATORY INFORMATION Date sample analyzed:Please see attached Laboratory Name: Environmental Chemists, Inc. Certification No. 094 PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite(NO2)as N owls mg/L Pb-Lead o1051 ug/L Coliform: MF Fecal 31616 /100mL Nitrate(NO3)as N 00620 mg/L Zn-Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus:Total as P oosss mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units): Dissolved Solids:Total 70300 mg/L Al-Aluminum 131105 mg/L pH (Lab)00403 units Ba-Barium 01007 ug/L TOC 00680 mg/L Ca-Calcium oosss mg/L Chloride 00940 mg/L Cd-Cadmium 01027 ug/L Arsenic o1002 ug/L Chromium:Total 01034 ug/L Grease and Oils o0552 mg/L Cu-Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC) Phenol 32730 ug/L Fe-Iron 01045 ug/L (Specify test and method#.ATTACH LAB REPORT.) Sulfate o0945 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? ❑ Yes(1) ❑ No(0) Specific Conductance oosss µMhos K-Potassium 00937 mg/L VOC 7873 , method# Total Ammonia 00610 mg/L Mg-Magnesium 00927 mg/L , method# (Ammonia Nitrogen;NH3 as N;Ammonia Nitrogen,Total) Mn-Manganese°loss ug/L , method# TKN as N 00625 mg/L Ni-Nickel 01067 ug/L , method# For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% I certify that,to the best of my knowledge and belief,the information submitted in this report is true.accurate,and complete,and that the laboratory analytical data was produced using approved methods of analysis by a DWR-certified laboratory. I am aware that there are significant penalties for submitting false information.including the possibility of fines and imprisonment for knowing violations. Jim H Lynch - Environmental Manager Maxwell Foods, LLC (f" 0428/21 Permittee(or Authorized Agent)Name and Title-Please print or type Sipna�a of Permittee(or Authorized Agent) (Date) GW-59 Rev.06-07-2018 SUBMIT FORM ON YELLOW PAPER ONLY • • Mail original DEPARTMENT OF ENVIRONMENTAL QUALITY-DIV.OF WATER RESOURCES GROUNDWATER QUALITY MONITORING: -INFORMATION PROCESSING UNIT and 1 copy to: COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 1/31/23 Facility Name: Maxwell Foods Livestock Truck Washstation Non-Discharge W00007521 UIC Permit Name(if different): NPDES Other Facility Address: 151 Best Sand and Gravel Rd TYPE OF PERMITTED OPERATION BEING MONITORED Goldsboro NC 27534 County Wayne ❑■ Lagoon ❑ Remediation: Infiltration Gallery • Spray Field ❑ Remediation: Contact Person: Jim H Lynch Telephone#: 919 778 3130 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name:Washstation No. of wells to be sampled: 4 ❑ Water Source Heat Pump ❑Other: (from Permit) SAMPLING INFORMATION If WELL WELL ID NUMBER(from Permit): PAW-7 Date sample collected: 3/15/21 FIELD ANALYSES: WAS Well Depth: 12. ft. Well Diameter: z in. pH 00400. units Temp. 000io: (3 1 °C DRY at time of Depth to Water Level 82546: .S.'Z ft below measuring point Screened Interval: 9 ft. to I? ft. Spec. Cond. 00094. µMhos sampling, Measuring Point is Z ft. above land surface Relative M.P. Elevation: ft. Odor 00085 Noete check Volume of water pumped/bailed before sampling:-`spas gallons Appearance C(e+.— here:( Samples for metals were collected unfiltered: 0YES ❑ NO and field acidified: ®YES ❑ NO I I LABORATORY INFORMATION Date sample analyzed:Please see attached Laboratory Name: Environmental Chemists, Inc. Certification No. 094 PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite(NO2)as N o0615 mg/L Pb-Lead o1os1 ug/L Coliform: MF Fecal 31616 S ( /100mL Nitrate(NO3)as N 00620 2. C,lif mg/L Zn-Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P oo665 mg/L (Note Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units): Dissolved Solids:Total 70300 6 mg/L Al-Aluminum o11os mg/L pH (Lab)00403 G.3 units Ba-Barium o1007 ug/L TOC 00680 1. 5 mg/L Ca-Calcium oos1s mg/L Chloride oos4o 7 mg/L Cd-Cadmium 01027 ug/L Arsenic o1002 ug/L Chromium:Total 01034 ug/L Grease and Oils oo552 mg/L Cu-Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC) Phenol 32730 ug/L Fe-Iron 01045 ug/L (Specify test and method#.ATTACH LAB REPORT.) Sulfate 00945 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? ❑ Yes(1) ❑ No(0) Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 7873 , method# Total Ammonia o0610 4.2 mg/L Mg-Magnesium 00927 mg/L , method# (Ammonia Nitrogen;NH3as N;Ammonia Nitrogen,Total) Mn-Manganese 01055 Ug/L , method# TKN as N 00625 mg/L Ni-Nickel 01067 ug/L , method# For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% I certify that,to the best of my knowledge and belief,the information submitted in this report is true,accurate,and complete,and that the laboratory analytical data was produced using approved methods of analysis by a DWR-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations. Jim H Lynch - Environmental Manager Maxwell Foods, LLC ' < 1:7" 0428/21 Permittee(or Authorized Agent)Name and Title-Please print or type Signature of Perytee(or Authorized Agent) (Date) GW-59 Rev.06-07-2018 Environmental Chemists, Inc. envirochem 6602 Windmill Way,Wilmington,NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax 710 Bowsertown Road,Manteo,NC 27954 • 252.473.5702 Lab/Fax sM 255-A Wilmington Highway,Jacksonville,NC 28540 • 910.347.5843 Lab/Fax ANALYTICAL&CONSULTING CHEMISTS info@environmentalchemists.com Maxwell Foods Date of Report: Mar 26, 2021 Post Office Box 10009 Customer PO#: Goldsboro NC 27532 Customer ID: 12110005 Attention: Jim Lynch Report#: 2021-04308 Project ID: Livestock Truck Wash-Goldsboro Lab ID Sample ID: Collect Date/Time Matrix Sampled by 21-10610 Site: MW-1 3/15/2021 1:10 PM Water Jay Baker Test Method Results Date Analyzed Color Color Clear 03/15/2021 Depth to water, ft. Depth to Water,Ft. 9.6 feet 03/15/2021 Ammonia Nitrogen EPA 350.1 < 0.2 mg/L 03/19/2021 Gallons bailed before sampling Gallons Bailed before sampling 25 gallons 03/15/2021 Odor Qualitative None 03/15/2021 Total Dissolved Solids(TDS) SM 2540 C 60 mg/L 03/16/2021 Temperature SM 2550 B 14.6 C 03/15/2021 Chloride SM 4500 Cl E < 5 mg/L 03/17/2021 pH SM 4500 H B 5.1 units 03/15/2021 Total Organic Carbon (TOC) SM 5310 B 1.6 mg/L 03/18/2021 Fecal Coliform SM 9222D MF <1 Colonies/100mL 03/15/2021 Nitrate Nitrogen (Calc) Nitrite Nitrogen EPA 353.2 < 0.02 mg/L 03/15/2021 Nitrate+Nitrite-Nitrogen EPA 353.2 3.88 mg/L 03/19/2021 Nitrate Nitrogen Subtraction Method 3.88 mg/L 03/26/2021 Environmental Chemists, Inc. envirochem 6602 Windmill Way,Wilmington,NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax 710 Bowsertown Road,Manteo,NC 27954 • 252.473.5702 Lab/Fax N 255-A Wilmington Highway,Jacksonville,NC 28540 • 910.347.5843 Lab/Fax ANALYTICAL&CONSULTING CHEMISTS info@environmentalchemists.com environmentalchemists.com Maxwell Foods Date of Report: Mar 26, 2021 Post Office Box 10009 Customer PO#: Goldsboro NC 27532 Customer ID: 12110005 Attention: Jim Lynch Report#: 2021-04308 Project ID: Livestock Truck Wash-Goldsboro Lab ID Sample ID: Collect Date/Time Matrix Sampled by 21-10611 Site: MW-4 3/15/2021 12:45 PM Water Jay Baker Test Method Results Date Analyzed Color Color Clear 03/15/2021 Depth to water, ft. Depth to Water,Ft. 7.1 feet 03/15/2021 Ammonia Nitrogen EPA350.1 < 0.2 mg/L 03/19/2021 Gallons bailed before sampling Gallons Bailed before sampling 25 gallons 03/15/2021 Odor Qualitative None 03/15/2021 Total Dissolved Solids(TDS) SM 2540 C 77 mg/L 03/16/2021 Temperature SM 2550 B 14.7 C 03/15/2021 Chloride SM 4500 CIE < 5 mg/L 03/17/2021 pH SM 4500 H B 5.3 units 03/15/2021 Total Organic Carbon (TOC) SM 5310 B <0.5 mg/L 03/18/2021 Fecal Coliform SM 9222D MF <1 Colonies/100mL 03/15/2021 Nitrate Nitrogen (Calc) Nitrite Nitrogen EPA 353.2 < 0.02 mg/L 03/15/2021 Nitrate+Nitrite-Nitrogen EPA 353.2 6.91 mg/L 03/19/2021 Nitrate Nitrogen Subtraction Method 6.91 mg/L 03/26/2021 Rannn ik.. ',rill_nezna n...... ..r a Environmental Chemists, Inc. envirochem 6602 Windmill Way,Wilmington,NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax 710 Bowsertown Road,Manteo,NC 27954 • 252.473.5702 Lab/Fax sn+ 255-A Wilmington Highway,Jacksonville,NC 28540 • 910.347.5843 Lab/Fax ANALYTICAL&CONSULTING CHEMISTS info@environmentalchemists.com Maxwell Foods Date of Report: Mar 26, 2021 Post Office Box 10009 Customer PO#: Goldsboro NC 27532 Customer ID: 12110005 Attention: Jim Lynch Report#: 2021-04308 Project ID: Livestock Truck Wash-Goldsboro Lab ID Sample ID: Collect Date/Time Matrix Sampled by 21-10613 Site: MW-7 3/15/2021 12:20 PM Water Jay Baker Test Method Results Date Analyzed Color Color Clear 03/15/2021 Depth to water, ft. Depth to Water,Ft. 3.8 feet 03/15/2021 Ammonia Nitrogen EPA 350.1 < 0.2 mg/L 03/19/2021 Gallons bailed before sampling Gallons Bailed before sampling 25 gallons 03/15/2021 Odor Qualitative None 03/15/2021 Total Dissolved Solids(TDS) sM 2540 C 64 mg/L 03/16/2021 Temperature SM 2550 B 13.4 C 03/15/2021 Chloride SM 4500 CIE 7 mg/L 03/17/2021 pH SM 4500 H B 6.3 units 03/15/2021 Total Organic Carbon (TOC) SM 5310 B 1.5 mg/L 03/18/2021 Fecal Coliform SM 9222D MF <1 Colonies/100mL 03/15/2021 Nitrate Nitrogen (Calc) Nitrite Nitrogen EPA 353.2 < 0.02 mg/L 03/15/2021 Nitrate+Nitrite-Nitrogen EPA 353.2 2.68 mg/L 03/19/2021 Nitrate Nitrogen Subtraction Method 2.68 mg/L 03/26/2021 Comment: Reviewed by: 0 UkQ Pennrttt- n91_nesna ^--- _. Certification k 94 Date: J7s//Z Facility Name: Ot-� {5 Analyst: -CO Permit#: DA- F. LE pH Reference Method SM4500 H—B-201 1 Instrument ID `me Calibration Time Cal Buffer 4 0 s u Cal Buffer 10 0 s u Check Buffer 7.0 s u Comments yv� fa.., I(J) (y) .�..sL (v) /L t. 'pH check buffer must read within±0 I pH units of the buffer's true value 4 su buffer Lot=/: Ricca 2001 B20 Exp 1/2022 7 su buffer Loth Ricca 2008993 Exp.7/2022 10 su buffer Lot-'4. Ricca 1001791 7'2021 Sample Collection Sample Analysis pH Result 0-Post-analysis Buffer Sample location Ttme♦ Ttme♦ s u Check value s.0 Comments Data Qualifiers Ma' / /!/J /j/I I f'•o4- 71- /LLB n-L. I 6r3L 1 ► Post analysis buffer check is required when performing analyses at multiple sampling locations and must be within=0 1 units of the buffer's true value All pH values in pH units(i.e,s u) Record all data to the nearest 0 01 s u and report to the nearest 0 I s u Total Residual Chlorine(TRC) Reference Method.SM 4500 CI-G201 I: Hach 8167 BR: (Please circle applicable Method Instrument ID Post-analysis , Daily Check Time check Sample Sample Check Std Sample TRC Result , Standard Result Standard Collection Analysis Comments'DataQualifiers µe I-or me L (+`hen analyzing Analyzed Location Time Time µg L or mg"L at multiple sites) I TRC Daily Check Standard true Yalue µg/L or mg/L acceptance range µo L or mg 1. Check standards must recover within=10%of the check standard's true value Annual Calibration Curie Verification Date- LOT# Exp.Date Reagent Blank Value ____ . (When applicable.Analyze and document a reagent blank when standards,sample dilutions or PT Samples are prepared) Dissolved Oxygen (DO) Reference Method:SM 45000 0,-201 1 Instrument ID Calibration Calibration%enable Meter reading •Port-analysis calibration verification(when necessary 1 Verification or%efficiency Comments Time Barometric after calibration Theoretical Calculated Temperature pressure Value mg L Value mgL Use this row when performing a verification instead of calibration r Sample Collection 'Sample Analysis DO reading Sample Location Time Time m L Comments.Data Qualifiers g 1 • When performing analyses at multiple locations,the meter must be recalibrated at each site before analysis or a post-analysis calibration verification must be performed •If sample is measured directly in the stream and'or onsite,only time analyzed would be recorded ugh a note that they are measured in situ or immediately Temperature Reference Method SM 2550 B-2010 Instrument ID. Sample 'Sample Temperature { Sample Location Collection Analysis °C Comments Data Qualifiers Time Time Aw I f.,,4 CC)✓e /gl4 if iy. . J- iI 1/ c 1 i * If sample is measured directly in the stream and or on site,only time analyzed would be recorded,with a note that they are measured in situ or immediately Annual Verification Date .2—2—I Field Personnel Note: QA.001 Environmental Chemist, Inc., Wilmington, NC Lab #94 6602 Windmill Way Wilmington, NC 28405 910.392.0223 II ,, t-� Sample Receipt Checklist Client:M 1/4.1)( ik-_. r-0OM Date: 3 /1 .--/oRi Report Number: Q/ —v 143°8 Receipt of sample: ECHEM Pickup Client Delivery 0 UPS 0 FedEx 0 Other 0 ❑ YES 0 NO *r. N/A 1. Were custody seals present on the cooler? O YES 0 NO N/A 2. If custody seals were present, were they intact/unbroken? Original temperature upon receipt a °C Corrected temperature upon receipt °C How temperature taken: 0 Temperature Blank Against Bottles IR Gun ID:Thomas Traceable S/N 192511657 IR Gun Correction Factor°C: 0.0 O YES ❑ NO 3. If temperature of cooler exceeded 6°C, was Project Mgr./QA notified? XYES 0 NO 4. Were proper custody procedures (relinquished/received) followed? O YES 0 NO 5. Were sample ID's listed on the COC? YES 0 NO 6. Were samples ID's listed on sample containers? YES 0 NO 7. Were collection date and time listed on the COC? YES 0 NO 8. Were tests to be performed listed on the COC? YES ❑ NO 9. Did samples arrive in proper containers for each test? YES 0 NO 10. Did samples arrive in good condition for each test? YES 0 NO 11. Was adequate sample volume available?' YES 0 NO 12. Were samples received within proper holding time for requested tests? YES 0 NO 13. Were acid preserved samples received at a pH of<2? * ❑ YES 0 NO 14. Were cyanide samples received at a pH >12? ❑ YES 0 NO 15. Were sulfide samples received at a pH >9? NtYES 0 NO 16. Were NH3/TKN/Phenol received at a chlorine residual of<0.5 m/L? ** YES 0 NO 17. Were Sulfide/Cyanide received at a chlorine residual of<0.5 m/L? ❑ YES 0 NO 18. Were orthophosphate samples filtered in the field within 15 minutes? * TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet. ** Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet. Sample Preservation: (Must be completed for any sample(s) incorrectly preserved or with headspace) Sample(s) were received incorrectly preserved and were adjusted accordingly by adding (circle one): H2SO4 HNO3 HCI NaOH Time of preservation: If more than one preservative is needed, notate in comments below Note:Notify customer service immediately for incorrectly preserved samples.Obtain a new sample or notify the state lab if directed to analyzed by the customer.Who was notified,date and time: Volatiles Sample(s) were received with headspace COMMENTS: DOC. QA.002 Rev 1 envirochem ENVIRONMENTAL CHEMISTS, INC 910.392.0223 252.473.5702 Analytical&Consulting Chemists NCDENR: DWQ CERTIFICATION#94 NCDHHS: DLS CERTIFICATION#37729 info@environmentalchemists.com COLLECTION AND CHAIN OF CUSTODY CLIENT: Maxwell Foods, Inc. PROJECT NAME: Livestock Truck Wash-Goldsboro REPORT NO: pp2/— 0(1368 ADDRESS: Post Office Box 10009 CONTACT NAME: Jim Lynch PO NO: 943 Miller's Chapel Road REPORT TO: PHONE/FAX: 919.222.4791 Goldsboro, NC 27532 COPY TO: email:jim.lynch@goldsboromilling.corn Sampled By: SAMPLE TYPE: I = Influent, E=Effluent,W=Well, ST=Stream, SO=Soil, SL=Sludge, Other: Collection _ .N d PRESERVATION Sample Identification E Ca- .. co .__ -' g co m U c ° t E ¢ 2 z '0 0 0 o w ANALYSIS REQUESTED �to� Time Temp a " J z z z = = z o Yf Well: ' '�`� /`i 4 G G 1 D(O(t X TDS, NO2, Chloride � 11 C P <.,� �2 Depth to water: ((� G G X ' NO3, NH3 i C P Gallons bailed: L G G X Fecal Coliform C P pH (field): 5.• '4" G G 1 X TOC C P Odor: A"'( G G X VOC's (November) C P Color: v(e--44/ G G C P G G C P G G Total of 4 wells:due March,July,November.Site located on Best Sand&Gravel Road-Goldsboro,NC. Transfer Relinquished By: Date/Time Received By: Date/Time 1. 2. Temperature when Received °C: A Accepted: L----. ejected: Resampl Re uested: Delivered By: CrCX Received By: Date:-' l\ Time:3 Vrs Comments: TURNA OUND: envirochem ENVIRONMENTAL CHEMISTS, I N C 910.392.0223 252.473.5702 Analytical&Consulting Chemists NCDENR: DWQ CERTIFICATION#94 NCDHHS: DLS CERTIFICATION#37729 info@environmentalchemists.com COLLECTION AND CHAIN OF CUSTODY CLIENT: Maxwell Foods, Inc. PROJECT NAME: Livestock Truck Wash-Goldsboro REPORT NO: a'-- Q(1301) ADDRESS: Post Office Box 10009 CONTACT NAME: Jim Lynch PO NO: 943 Miller's Chapel Road REPORT TO: PHONE/FAX: 919.222.4791 Goldsboro, NC 27532 COPY TO: email: jim.lynch@goldsboromilling.com Sampled By: SAMPLE TYPE: I =Influent, E= Effluent, W=Well, ST=Stream, SO=Soil, SL=Sludge, Other: Collection y PRESERVATION Sample Identification a• a " J m m E ° F o t E g a _ d 0 3 00 w ANALYSIS REQUESTED Date Time Temp 3 " z z = _ z , ,E, v,,. /L.•� Jy� C P Well: ( G G 1 / 1 X TDS, NO2, Chloride gr C P Depth to water: if- G G <-S XC 2' NO3, NH3 C P 0, Gallons bailed: LS G G X Fecal Coliform C P pH (field): S,, 3. G G X TOC C P Odor: A-A ` G G X VOC's (November) C P Color: CJe.--✓ G G C P G G C P G G Total of 4 wells:due March,July,November.Site located on Best Sand&Gravel Road-Goldsboro,NC. Transfer Relinquished By: Date/Time Received By: Date/Time 1. 2. Temperature when Received °C: ,c:;, Accepted: ✓ jected: ResamPl Re nested: Delivered By: Received By: Date: 3 1 S Time: 3: Li r Comments: TURNAROUND: envirochem ENVIRONMENTAL CHEMISTS, I N C 910.392.0223 252.473.5702 Analytical&Consulting Chemists NCDENR: DWQ CERTIFICATION#94 NCDHHS: DLS CERTIFICATION#37729 info@environmentalchemists.com COLLECTION AND CHAIN OF CUSTODY CLIENT: Maxwell Foods, Inc. PROJECT NAME: Livestock Truck Wash-Goldsboro REPORT NO: - )— U Y. o ADDRESS: Post Office Box 10009 CONTACT NAME: Jim Lynch PO NO: 943 Miller's Chapel Road REPORT TO: PHONE/FAX: 919.222.4791 Goldsboro, NC 27532 COPY TO: email: jim.lynch@goldsboromilling.com Sampled By: SAMPLE TYPE: I = Influent, E=Effluent, W=Well, ST=Stream, SO=Soil, SL=Sludge, Other: Collection - a _ v PRESERVATION Sample Identification E a " O w co E c� o a r E g z u N o 0 o w ANALYSIS REQUESTED to Time Temp Z _ _ Z o �tt l CA /LLv C P Well: T j /I' G G 10 3 X TDS, NO2, Chloride 4� C P Depth to water: y' G G '� XCZ NO3, NH3 i C P L.Gallons bailed: G G X Fecal Coliform 11 C P pH (field): G G X TOC C P Odor: "Q"c G G X VOC's (November) / C P Color: de-4" G G C P G G C P G G Total of 4 wells:due March,July,November.Site located on Best Sand&Gravel Road-Goldsboro,NC. Transfer Relinquished By: Date/Time Received By: Date/Time 1. 2. Temperature when Received °C: c Accepted: ✓ ejected: Resam�l Requested: E.-CZ By: CZ Received By: Date: lI J /q t Time:3 yS Comments: TURNAROUND: